Medicare Blog

where can seniors get advice on medicare

by Marielle Rohan I Published 2 years ago Updated 1 year ago
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HICAP (Health Insurance Counseling and Advocacy Program) provides free, confidential one-on-one counseling, education, and assistance to individuals and their families on Medicare, Long-Term Care insurance, other health insurance related issues, and planning ahead for Long-Term Care needs.

Full Answer

What do seniors need to know about Medicare?

You need to pay attention to all of Medicare's parts: Part A covers hospital and hospice care and some skilled nursing services after you've been in the hospital. Part B includes doctor visits and other outpatient services.

What is the best medical plan for seniors?

Here are the five-star offerings for 2021:

  • Capital District Physicians’ Health Plan
  • CarePlus
  • HealthNow New York
  • HealthPartners
  • Healthspring of Florida
  • Healthsun
  • KelseyCare Advantage
  • Kaiser Permanente
  • Martin’s Point Generations Advantage
  • Quartz Health Plan

More items...

What is the best healthcare plan for seniors?

The Best Senior Dental Insurance Plans

  • Best Overall for Seniors: Delta Dental (AARP)
  • Most Affordable: Humana
  • Best for Claims: UnitedHealthcare
  • The Best Customer Service: Ameritas
  • Best for Plan Options: DentalPlans.com

How would Medicare for all affect seniors?

“Medicare for All” would flip this arrangement — imposing enormous tax increases on all, including seniors, to pick up all medical costs currently borne by employers and those able to work.

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What is the best Medicare helpline?

1-800-MEDICARE (1-800-633-4227) can help. TTY users should call 1-877-486-2048.

How can I ask Medicare a question?

Call 1-800-MEDICARE For questions about your claims or other personal Medicare information, log into (or create) your secure Medicare account, or call us at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.

What is Medicare helpline?

(800) 633-4227Centers for Medicare & Medicaid Services / Customer service

Does Medicare have a chat line?

Medicare.gov Live Chat is available 24 hours a day, 7 days a week, except some federal holidays. All fields required unless marked optional.

Can AARP help with Medicare questions?

AARP's Medicare Question and Answer Tool offers practical and comprehensive information to help you navigate the program according to your own situation.

Does Medicare have local offices?

Does Medicare Have Local Offices? Medicare does not have local offices.

Why do doctors not like Medicare Advantage plans?

If they don't say under budget, they end up losing money. Meaning, you may not receive the full extent of care. Thus, many doctors will likely tell you they do not like Medicare Advantage plans because private insurance companies make it difficult for them to get paid for their services.

Does Medicare call you at home?

Remember that Medicare will never call you to sell you anything or visit you at your home. Medicare, or someone representing Medicare, will only call and ask for personal information in these 2 situations: A Medicare health or drug plan may call you if you're already a member of the plan.

How do I contact my local Medicare office?

1-800-MEDICARE (1-800-633-4227) For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

What are the 4 types of Medicare?

There are four parts of Medicare: Part A, Part B, Part C, and Part D.Part A provides inpatient/hospital coverage.Part B provides outpatient/medical coverage.Part C offers an alternate way to receive your Medicare benefits (see below for more information).Part D provides prescription drug coverage.

Can you call Medicare 24 hours a day?

Medicare offers a toll-free number that's staffed 24 hours a day, seven days a week. Beneficiaries can call for Medicare information or to enroll in a plan or make an appeal. Callers can choose from a handful of menu options. Beneficiaries can also mail or fax Medicare or request information in an accessible format.

Does Medicare coverage start the month you turn 65?

The date your coverage starts depends on which month you sign up during your Initial Enrollment Period. Coverage always starts on the first of the month. If you qualify for Premium-free Part A: Your Part A coverage starts the month you turn 65.

How many people are covered by medicaid?

Medicaid also provides coverage to 4.8 million people with disabilities who are enrolled in Medicare.

Can you be covered by Medicare and Medicaid?

Individuals who are enrolled in both Medicaid and Medicare, by federal statute, can be covered for both optional and mandatory categories.

Can Medicare help with out of pocket medical expenses?

Medicare enrollees who have limited income and resources may get help paying for their premiums and out-of-pocket medical expenses from Medicaid (e.g. MSPs, QMBs, SLBs, and QIs).

What is the name of the program that helps you learn about Medicare?

Every state has a State Health Insurance Assistance Program (SHIP) or State Health Insurance Benefits Advisors (SHIBA) to help you learn more about Medicare plans and how to enroll in them. The Social Security Administration (SSA) can help you apply online, in person, or over the phone. Federal and state programs can help you pay for Medicare costs.

What is the phone number for SSA?

Call 800-772-1213 between 7 a.m. and 7 p.m. from Monday through Friday. If you’re a deaf person or someone with hearing issues, you can use the TTY service at 800-325-0778. Because many SSA field offices remain closed due to COVID-19 restrictions, applying in person may be difficult right now.

What is QI Medicare?

The QI program is administered by your state. It helps Medicare beneficiaries with limited income pay their Part B premiums. To apply for the program, visit this Medicare site and select your state from the menu.

How much can a doctor bill you for prescriptions in 2020?

copayments. If you’re in the QMB program, your doctor and healthcare providers are allowed to bill you only a limited amount for prescription medications ( $3.90 in 2020). They are not allowed to bill you for services and other items covered by Medicare. The 2020 monthly income limits for the QMB program are:

What is a qualified Medicare beneficiary?

Qualified Medicare Beneficiary (QMB) program. The QMB program is one of four assistance programs created by the Department of Health and Human Services (HHS). Even though HHS started these programs, they are now operated by state governments. This program helps people who meet income limits pay for: Part A premiums.

How much does Medicare cost in 2020?

Most people don’t pay anything for Medicare Part A (hospital) coverage. For Part B (medical) coverage, most people pay a premium of $144.60 in 2020.

How long does it take to get Medicare online?

The Social Security Administration (SSA) manages the Medicare online application process. Most people will be able to complete the application in about 10 minutes. You likely won’t need to have any additional documentation on hand when you apply.

Why is it important for seniors to have legal guidance?

Many older Americans require professional help with issues like estate planning, power of attorney directives, foreclosures or evictions, identity theft, and age discrimination.

What are the benefits of being a senior citizen?

For instance, you qualify for a higher standard deduction amount if you are 65 or older and you don't itemize deductions. Also, if you're over 65 or you retired on permanent disability, you may be able to claim the Credit for the Elderly or Disabled, which can lower the amount of tax you have to pay. (Note that your income must be within a certain limit.) The credit ranges from $3,750 to $7,500.

What states provide SSI benefits?

Additional financial help for seniors with low income is available in many areas. Most states (except for North Dakota, Arizona, Mississippi, and West Virginia) provide supplemental payments to people receiving SSI benefits. Each state has its own rules about who is eligible and how much they are entitled to receive.

What is SSI in the US?

Supplemental Security Income (SSI) The Supplemental Security Income is a government assistance program that provides help for low-income seniors in the form of monthly cash payouts to cover basic costs related to food, shelter, and clothing.

How many seniors live below the poverty line?

Income and Tax Help for Seniors. According to the National Council on Aging, more than 15 million Americans aged 65+ live below the federal poverty line. There are also millions of other seniors with low or moderate incomes who are technically above the poverty line but still struggle to pay their bills each month.

How much is the Elderly Tax Credit?

(Note that your income must be within a certain limit.) The credit ranges from $3,750 to $7,500.

Can you live in a senior home?

Some caregivers live in the senior's home full time and do not maintain a separate residence; others keep a home of their own and alternate shifts at the senior's home with a second caregiver.

How to get help with Medicare enrollment?

Another way to get help with your Medicare enrollment is to consult an independent insurance agent. Agents typically get paid a commission to sell you a policy, although they offer plans from a number of providers.

What is the number to call Medicare?

Or, if you don’t have Internet access, or don’t feel confident in working through the information on your own, you can also call Medicare at 800-633-4227 and a customer service representative will do the work for you over the phone. Advertisement.

What is Medicare Advantage?

Or, a Medicare Advantage plan which covers health care, prescription drugs ...

What are the services that Medicare covers?

However, in Medicare, these are very different services. Home care services include: – Skilled nursing care, which can be part-time or intermittent. – Physical therapy. Occupational therapy. Medical social services. Home health services, which can be part-time or intermittent. – Speech pathology services. House-cleaning services include.

What is Medicare homemaker?

Medicare defines ‘homemaker services’ as cleaning, shopping, and laundry. As already stated, homemakers and their services are not included in primary Medicare coverage (Medicare Part A and Part B). Hence another plan is required to carry them.

Does Medicare cover house cleaning?

Medicare has many different kinds of coverage, that have been include in “Part A” and “Part B”. Medicare A and B do not include house cleaning services, but the newer “Part C” may do so.

Can seniors clean their own homes?

It can be difficult for seniors to clean and care for the home when they live alone. However, there are several ways for seniors to get help cleaning the home: they could get a family member to help them with it (which is not possible for everyone) or hire a housekeeper to do the job.

Does Medicare cover dental and vision?

Because traditional A and B coverage did not include many desired services, such as dental and vision, Medicare started a new “Part C” coverage to cover these services. In some cases, this can include some house cleaning services.

How to contact Medicare by phone?

Call 1-800-MEDICARE (1-800-633-4227) You can call 1-800-MEDICARE and speak with a representative to ask questions about Medicare or get help resolving problems with Medicare. We made a test call to this number and were greeted by a polite Medicare representative after being on hold for about 90 seconds.

What is Medicare.gov?

Medicare.gov is the official government website about Medicare. There are lots of private sites devoted to Medicare information and sales—some are very reputable, although some are not. But only the government website has the dot-gov domain name. 5.

What is Medicare Rights Center?

The Medicare Rights Center is a non-profit organization dedicated to helping Americans understand their Medicare rights and benefits, navigate the Medicare system, and get quality health care. It does this using the extensive library of information available on its website as well as through a telephone helpline.

What is the difference between Medicare.gov and MyMedicare.gov?

The information available on the MyMedicare.gov website differs from Medicare.gov in that it’s specific to you. You’ll be able to see your Medicare Part A and Part B claims as well as get quality information about your doctors, hospitals, and other healthcare providers.

What is a helpline counselor?

Helpline counselors offer assistance with Medicare questions like how to decrease your premium costs and with Medicare problems such as appealing payment denials. They can also provide extensive information regarding eligibility and enrollment, even for somewhat complicated situations.

When is Medicare open enrollment?

Make sure your loved one’s Medicare coverage still meets their needs. Medicare Open Enrollment is from now until December 7 , and it’s important to take a few minutes to review coverage and pick a plan that works for your loved one.

How many hours of care do you get for a family member?

Family caregivers provide an average of 24 hours of care per week. When you’re a caregiver, it can be hard to care for yourself. November is National Family Caregiver ...

When is National Family Caregiver Month?

When you’re a caregiver, it can be hard to care for yourself. November is National Family Caregiver Month—a perfect opportunity to reach out for caregiver support if you’re caring for someone with Medicare.

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